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Reliance Retail Limited

Building No.4, Reliance House, RK Four Square, DLF


Cyber City, Phase - II, Gurgaon, Haryana Gurgaon Haryana
122002

(Original for Recipient)

Tax Invoice

Invoice No : A6R24I9999220537 Invoice/Payment Date & Time : 11 Apr,2023 08:18:51

PAN No : AABCR1718E GST No : 06AABCR1718E1ZT

Order Ref. No. : TB00002KHRKU Payment Ref. No. : 310134731227

Mode of Payment : UPI

Customer Name : SANDEEP SINGH Place of Supply : 06 Haryana

Jio Number : 1723566774 Customer Address : HNo. 5/1D Panchkula, Rail Vihar Mansa Devi
Complex Sec-4 6 Haryana 134114

Sr. Taxable
Item Name HSN/SAC Qty MRP/Unit( `) Discount( `)
No. Amount( `)

1 JioFiber_1M_999 998422 1 1038.40 0.00 880.00

2 Platform Services - JioFiber_1M_999 998439 1 140.42 0.00 119.00

Total Taxable Amount 999.00

CGST (9%) 89.91

SGST (9%) 89.91

Total Amount( `) 1178.82

One Thousand One Hundred Seventy Eight Rupees And Eighty Two Paise Only
Total Amount (in words)

Telecommunication services to be provided by Reliance Jio Infocomm Limited. Platform services to be provided by Jio Platforms
Limited. All disputes are subjected to Mumbai Jurisdiction. Tax is not payable under Reverse Charge

Declaration : Certified that all the particulars given above are true and correct

Digitally signed by DS RELIANCE RETAIL LIMITED


Date: 2023.07.25 10:57:13 IST
Reason: Invoice
Location: 06 Haryana

Digital Signature

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com
Reliance Retail Limited

Building No.4, Reliance House, RK Four Square, DLF Cyber City, Phase - II, Gurgaon, Haryana Gurgaon Haryana
122002

(Original for Recipient)

Payment Receipt

Payment Receipt No : TB00002KHRKU Date : 11 Apr,2023 08:18:51

Order Ref No : TB00002KHRKU

Customer Name : SANDEEP SINGH Customer Address : HNo. 5/1D Panchkula, Rail Vihar Mansa Devi
Complex Sec-4 6 Haryana 134114
Jio Number : 1723566774

Sr.
Plan Details Qty MRP/Unit( `) Total( `)
No.

1 JioFiber_1M_999 1 1178.82 1178.82

Total Amount ( `) 1178.82


One Thousand One Hundred Seventy Eight Rupees And Eighty Two Paise Only
Total Amount (in words)

Declaration : Certified that all the particulars given above are true and correct.

This is a computer generated payment receipt, hence does not require signature.

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com

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